Organization Active NPI

Laredo Maternity and Gynecology PA

  • Obstetrics Physician
  • Laredo, TX
National Provider Identifier
1609080639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
LAREDO MATERNITY AND GYNECOLOGY PA
Practice address
1710 E Saunders St Ste 480
Laredo, TX 78041-5454
Phone
(956) 795-8375
Fax
(956) 795-8372
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard Paul Shea Jr., MD
Title
President
Phone
(956) 795-8375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X NU Primary

Addresses

Primary practice location

1710 E Saunders St Ste 480
Laredo, TX 78041-5454

Mailing address

1710 E Saunders St Ste 480
Laredo, TX 78041-5454
Phone (956) 795-8375

National Provider Directory

National Provider Directory

Locations

1710 E Saunders St
Ste 480
Laredo, TX 78041
Phone (956) 795-8375

1710 E Saunders St
Ste B480
Laredo, TX 78041
Phone (956) 795-8375

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609080639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST STE 480",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415454",
            "telephone_number": "956-795-8375",
            "fax_number": "956-795-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST STE 480",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415454",
            "telephone_number": "956-795-8375",
            "fax_number": "956-795-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO MATERNITY AND GYNECOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-795-8375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.